Internship Intake Form
Thank you for showing interest in becoming an internship partner with Cannabis Community Care and Research Network & Holyoke Community College's Cannabis Education Center, workforce training program. We are excited to offer our first courses starting January 2020!
Email address *
Company Name *
Your answer
Website
Your answer
Company Contact First Name *
Your answer
Company Contact Last Name *
Your answer
Company Contact Phone *
Your answer
By completing this form, you are expressing interest in becoming a partner but have not created a formal agreement with C3RN or HCC. By completing this form you agree to be contacted to further verify eligibility in participating in this program. *
Please list all the locations you have secured where an intern would be placed
Your answer
Do you agree to all conditions as outlined by C3RN to become an internship partner? *
Select all license types your facility can offer for training sites CURRENTLY. *
Required
Select all FUTURE license types your facility can offer for training sites (< 6 months) *
Required
Select all FUTURE license types your facility can offer for training sites (6 months- 1 year out) *
Required
Are you interested in offering any guest lecturers or additional resources to supplement classroom learning for any of the following programs? *
Required
Is there anything else you think we should know about your company or about how we can partner together?
Your answer
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This form was created inside of Cannabis Community Care and Research Network.